Clinical Epidemiology and Global Health最新文献

{"title":"Prevalence and risk factors of musculoskeletal symptoms among women handloom weavers in Lampang Province, Thailand","authors":"Ekarat Sombatsawat ,&nbsp;Kamphon Saeng-iam ,&nbsp;Teeraphun Kaewdok","doi":"10.1016/j.cegh.2025.102093","DOIUrl":"10.1016/j.cegh.2025.102093","url":null,"abstract":"<div><h3>Background/aim</h3><div>Handloom weaving involves highly repetitive manual operations and sustained static postures, which contribute to the onset of musculoskeletal symptoms (MSS). This study aimed to identify the risk factors associated with MSS among women handloom weavers.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional analytical study was conducted among 150 handloom weavers in Lampang Province, Thailand, selected through a convenience sampling method. Data were collected using a structured questionnaire encompassing demographic characteristics, working conditions, self-reported musculoskeletal symptoms (MSS), and the Rapid Upper Limb Assessment (RULA). Multiple logistic regression analysis was performed to identify the risk factors associated with MSS.</div></div><div><h3>Results</h3><div>The results indicated that the prevalence of MSS was 76.0 % in the past 7 days and 82.7 % in the past 12 months. The three body parts with the highest prevalence rates of MSS were the shoulder (68.0 %), knee (63.3 %), and upper arm (54.7 %). Over 44.0 % of working postures were classified as having a medium risk level. A multiple logistic regression analysis demonstrated that chronic disease, number of working days per week, and working posture were significantly associated with MSS (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>These findings emphasize the need for further study to develop targeted occupational ergonomic interventions aimed at enhancing safety and preventive health strategies for handloom weavers experiencing musculoskeletal symptoms (MSS).</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102093"},"PeriodicalIF":2.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient companions' knowledge and practice of infection prevention and control measures in health facilities in the city of Bobo-Dioulasso, Burkina Faso","authors":"Arsène Hema ,&nbsp;Satouro Arsène Somé ,&nbsp;Odilon Kaboré ,&nbsp;Soufiane Sanou ,&nbsp;Armel Poda ,&nbsp;Ziemlé Clément Meda ,&nbsp;Abdoul Salam Ouedraogo ,&nbsp;Léon Savadogo","doi":"10.1016/j.cegh.2025.102085","DOIUrl":"10.1016/j.cegh.2025.102085","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare in a hospital environment frequently involves patient companions who can serve as reservoirs and transmitters of infection. This study aimed to assess the knowledge and practices of patient companions regarding infection prevention and control (IPC) in healthcare settings of Bobo Dioulasso (Burkina Faso).</div></div><div><h3>Methods</h3><div>A cross-sectional and analytical study including patient companions was conducted at Sourô Sanou University Hospital (CHUSS), and the Do and Dafra district hospitals in Bobo Dioulasso (Burkina Faso), specifically. Data were collected using an anonymous questionnaire and observation grid and analyzed using Stata13® software. A multilevel linear regression model was employed to assess the associations between companion characteristics and their level of knowledge or practice. The statistical significance level was set at 5 % for all analyses.</div></div><div><h3>Results</h3><div>A total of 789 patient companions were included, with 305 from CHUSS, 244 from Do, and 240 from Dafra.The average knowledge score on IPC was 32 out of 100. The average score for IPC practices in healthcare facilities was 81.0 out of 100. Male gender (P = 0.029), urban residence (P = 0.034), widower status (P = 0.001), secondary education and above (P = 0.000), and awareness (P = 0.000) were found to be associated with a higher level of IPC knowledge. Secondary education and above (P = 0.010), awareness (P = 0.000), CHUSS and Do (P = 0.012) were factors associated with good IPC practices.</div></div><div><h3>Conclusion</h3><div>This results showed patient companions deficiency in IPC knowledge and practice. Main factors of this deficit were a paucity of education and insufficient awareness.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102085"},"PeriodicalIF":2.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing diagnostic accuracy of abnormal uterine bleeding classification by FIGO PALM–COEIN system and histopathological insight at a tertiary care center","authors":"Shalini Bhalla ,&nbsp;Poorvi Mathur ,&nbsp;Shivanjali Raghuvanshi ,&nbsp;Anushree Rai ,&nbsp;Amita Pandey","doi":"10.1016/j.cegh.2025.102037","DOIUrl":"10.1016/j.cegh.2025.102037","url":null,"abstract":"<div><h3>Background</h3><div>Abnormal uterine bleeding is one of the most common complaints amongst the non-pregnant females in the reproductive age group. To standardize terminology and abolish overlapping terms like menorrhagia, polymennorhoea, heavy menstrual bleeding the FIGO group introduced the PALM–COEIN system. The aim of the present study was to correlate the diagnostic accuracy of the clinical cause of abnormal uterine bleeding based on the PALM–COEIN system with the histopathological diagnosis of the resected surgical specimen.</div></div><div><h3>Material and method</h3><div>In this retrospective study, the medical records of patients with abnormal bleeding disorders over a one-year period were retrieved and classified according to the FIGO classification system; presence of structural abnormality (PALM) or its absence (COEIN group). This was correlated with histopathological diagnosis of the resected surgical specimen.</div></div><div><h3>Result</h3><div>384 abnormal uterine bleeding (AUB) patients were included in the study, 13 were myomectomy cases while rest underwent total abdominal hysterectomy. The predominant cause of AUB in the clinical PALM-COEIN classification was Leiomyoma (AUB-L 48.7 %) followed by the nonstructural causes of Ovulatory (AUB-O) and Endometrial (AUB-E) causes in 18 %. This was followed by Adenomyosis (AUB-A) in 16.9 %. The difference on the clinical and histopathological correlation was statistically significant (p = 0.03).</div></div><div><h3>Conclusion</h3><div>The histopathological examination plays a key role in the ultimate diagnosis, however classification of AUB based on the acronym PALM-COEIN provides a structured approach to identifying the underlying cause of AUB. The classification aids in standardizing the language used in AUB diagnosis. Its global application would help in better patient management.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102037"},"PeriodicalIF":2.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of socio-demographic and dietary factors for metabolic syndrome: A comparative study among tribal and non-tribal population","authors":"Jayshri R. Ghate ,&nbsp;Anshita Gulati ,&nbsp;Akanksha Mishra ,&nbsp;Rachita Nanda ,&nbsp;Vinay Pandit ,&nbsp;Sandip Kumar Chandraker ,&nbsp;Suyesh Shrivastava ,&nbsp;Ravindra Kumar","doi":"10.1016/j.cegh.2025.102087","DOIUrl":"10.1016/j.cegh.2025.102087","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic syndrome is a clustering of hyperglycemia and insulin resistance, hypertension, central obesity and dyslipidemia. Recent studies shows an increasing trend of NCDs among tribal population groups. The aim of this study is to explore the presence of metabolic syndrome in tribal and non-tribal communities living in the same geographical area (Durg district) and to find the associated modifiable risk factors.</div></div><div><h3>Methods</h3><div>The present cross-sectional investigation assessed the prevalence of Metabolic Syndrome among 290 participants from Patan block, Durg district, Chhattisgarh. After taking written informed consent from the participants, socio-demographic data was recorded through structured questionnaire. Overnight fasting blood glucose, lipid profile and Homa-IR levels were measured using standard protocols. Presence of metabolic syndrome was established using NCEP- ATP III criteria.</div></div><div><h3>Results</h3><div>The study revealed that 17.7 % of non-tribal and 14.8 % of tribal had metabolic syndrome. A high prevalence of hypertension was observed for both genders. No significant difference in the prevalence of central obesity, dyslipidemia, hypertension, hyperglycemia and Homa-IR in tribal and non-tribal groups was found. Low education level, marital status and a smaller number of meal per day were significant risk factors for metabolic syndrome in tribal group, whereas general obesity (BMI&gt;25 kg/m²) and alcohol consumption were significant risk factor for metabolic syndrome among non-tribal population.</div></div><div><h3>Conclusion</h3><div>These findings provide valuable insights into metabolic syndrome distribution among tribal and non-tribal groups. Social intervention is recommended to address on alcohol dependence and health education about balanced diet to reduce the prevalence of metabolic syndrome in these groups.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102087"},"PeriodicalIF":2.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modelling the relationship between extreme temperature metrics and cardiovascular disease burden in India: Insights from a multi-state study on climate change challenges for 2011–2019","authors":"Soundarya Soundararajan ,&nbsp;Bhavani Shankara Bagepally ,&nbsp;Jhalak Dhingra ,&nbsp;Meghna P. Dinesh ,&nbsp;K. Nimithamohan ,&nbsp;Rakesh Balachandar","doi":"10.1016/j.cegh.2025.102084","DOIUrl":"10.1016/j.cegh.2025.102084","url":null,"abstract":"<div><h3>Background</h3><div>Climate change, particularly the rise in global temperatures, has significantly increased the burden of cardiovascular disease (CVD).</div></div><div><h3>Objective</h3><div>The objective of this study is to investigate the CVD-burden attributable to temperature variations within the context of India's diverse climate conditions from 2011 to 2019.</div></div><div><h3>Methods</h3><div>2-m temperature data from the ERA5 dataset is used for estimating temperature metrics—average, median, mode, minimum, maximum, and variations. From the state-level temperature metrics, 2.5th and 97.5th percentiles are identified as extremes. CVD-burden data per 100,000 population, are sourced from the Global Burden of Disease study. The relationship between the temperature predictors and CVD burden is estimated using Poisson panel regression, followed by estimation of incidence rate ratios by exponentiation of coefficients.</div></div><div><h3>Results</h3><div>A unit increase in average temperature increased the CVD-burden by ∼2.5 %. The 97.5th percentile consistently showed strong association with CVD-burden indices. The population attributable fraction for CVD mortality due to elevated average temperatures in India during the study period was estimated as 3.3 %.</div></div><div><h3>Significance</h3><div>These findings reinforce existing research and underscore the impact of temperature variations on the CVD-burden, highlighting the need for public health interventions to mitigate the effects of temperature on cardiovascular health.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102084"},"PeriodicalIF":2.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life and medication adherence of hypertensive patients in Eastern DR Congo: a cross-sectional study","authors":"Roland Muyisa ,&nbsp;Emile Watumwa ,&nbsp;Divine Mataula ,&nbsp;Arma Nzanzu ,&nbsp;Amani Ngavo ,&nbsp;Robert Kanduki ,&nbsp;Apollinaire SaaSita ,&nbsp;Jacques Wahangire ,&nbsp;Jean Paul Mwalitsa ,&nbsp;Adélar Kalima ,&nbsp;François Mbahweka","doi":"10.1016/j.cegh.2025.102083","DOIUrl":"10.1016/j.cegh.2025.102083","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertension represents a significant public health issue and stands as one of the most prevalent chronic diseases worldwide, affecting both developed and developing nations. Notably, data regarding hypertension in the Democratic Republic of the Congo (DRC) remains scarce. This study sought to evaluate the effects of adherence to antihypertensive medication on the quality of life among hypertensive patients.</div></div><div><h3>Method</h3><div>This study focused on hypertensive patients aged 18 and older in Katwa, Butembo, and Musienene from July 1 to November 1, 2024, involving 211 patients selected by convenience sampling. Inclusion required at least six months of treatment. Health-Related Quality of Life (HRQoL) was measured using the SF-36 scale, and medication adherence was assessed with the MMAS-8. Data were analyzed through descriptive statistics and linear regression to examine the relationship between adherence and quality of life.</div></div><div><h3>Results</h3><div>The findings indicated a non-adherence rate of 56.40 % among participants. Furthermore, the mean scores across various dimensions of quality of life were observed to be relatively low, particularly in the domain of general health, which registered a score of 36.11 %, indicative of poor quality of life. A significant correlation was identified between high levels of adherence to medication and improvement in specific domains of quality of life, including physical function, social function, physical limitation, and mental health.</div></div><div><h3>Conclusion</h3><div>Hypertensive patients had low treatment adherence, correlating with poor quality-of-life scores, while high adherence was linked to better quality-of-life improvements.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102083"},"PeriodicalIF":2.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Exploring sleep quality, its determinants and the role of workstation in analysis of cognitive and physical parameters in IT professionals”","authors":"Reema Joshi,&nbsp;Kalyani A. Patil","doi":"10.1016/j.cegh.2025.102081","DOIUrl":"10.1016/j.cegh.2025.102081","url":null,"abstract":"<div><h3>Objective</h3><div>This study explores the impact of personal, lifestyle, and occupational factors on sleep quality among IT professionals and evaluates their influence on cognitive and physical functions.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical design was conducted among 182 IT professionals aged 20–59 years with poor sleep quality (PSQI &gt;5). Reaction time, attention span, and physical performance were evaluated using the Ruler Drop Test, Cancellation Test, and Six-Minute Walk Test, respectively. Workstation ergonomics were assessed objectively through the OSHA-VDT Checklist.</div></div><div><h3>Results</h3><div>Younger age, being married, regular physical activity, vegetarian diet, absence of caffeine, smoking, and alcohol consumption, frequent work breaks, shorter work experience, reduced overtime hours, lower leisure screen time, and compliant workstation ergonomics positively influenced sleep quality (p &lt; 0.05). Poorer sleep quality correlated with reduced physical performance (ρ = 0.312, p = 0.002), attention span (ρ = 0.432, p &lt; 0.0001), and reaction time (ρ = 0.313, p &lt; 0.0001). Workstation compliance was significantly associated with lower prevalence of low vision (χ² = 23.08, p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>Sleep quality is crucial for optimal cognitive and physical performance in IT professionals. Addressing lifestyle modifications and ergonomic interventions can significantly enhance occupational health, productivity, and well-being.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102081"},"PeriodicalIF":2.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term adverse events after COVAXIN vaccination in adolescents (15–18 Years) in Northern India: Frequency, predictors, and reporting behavior","authors":"Sujoy Bose ,&nbsp;Arpita Bhriguvanshi ,&nbsp;Mehul Saxena","doi":"10.1016/j.cegh.2025.102082","DOIUrl":"10.1016/j.cegh.2025.102082","url":null,"abstract":"<div><h3>Background</h3><div>India initiated COVID-19 vaccination for adolescents (aged 15–18 years) on January 3, 2022, exclusively using COVAXIN. Adolescent-specific safety data remain limited, and adverse event following immunization (AEFI) reporting is notably low. This study evaluated the frequency, characteristics, and predictors of adolescents' short-term, self-reported AEFI post-COVAXIN vaccination and assessed their awareness and practices regarding official AEFI reporting mechanisms.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted between May and September 2022 among 411 adolescents vaccinated with at least one dose of COVAXIN across schools in urban and rural Lucknow, Northern India. Data on demographics, vaccine doses, AEFI symptoms, onset, duration, management, prior SARS-CoV-2 infection, and awareness and reporting behaviors were collected via a validated questionnaire through face-to-face interviews.</div></div><div><h3>Results</h3><div>65.45 % reported AEFI after the first dose and 56 % after the second. The most common reactions included injection-site pain, fever, and headache, predominantly occurring within 12 h and resolving within three days. Females reported significantly higher AEFI frequency (Adjusted OR = 3.0; 95 %CI:1.23–7.37), and the first dose was associated with greater reactogenicity (Adjusted OR = 1.55; 95 %CI:1.14–2.09). Prior SARS-CoV-2 infections significantly influenced AEFI occurrence. Despite frequent mild, self-limiting symptoms, awareness of official AEFI reporting mechanisms was low (18 %), with only 1.2 % formally reporting their symptoms.</div></div><div><h3>Conclusion</h3><div>COVAXIN vaccination in adolescents demonstrated a favorable short-term safety profile with predominantly mild, transient reactions. However, critically low awareness and negligible formal reporting highlight an urgent need to strengthen vaccine safety monitoring and public education on reporting practices.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102082"},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study to assess willingness and determinants for cadaveric organ donation among family members of deceased individuals autopsied at a tertiary care institute of North India","authors":"Rajesh Kumar ,&nbsp;Deepak Prakash ,&nbsp;MD. Abu Bashar ,&nbsp;Ajay Kumar Patel ,&nbsp;Abhaykumar Binodkumar Dheeraj ,&nbsp;Nishat Ahmed Sheikh","doi":"10.1016/j.cegh.2025.102078","DOIUrl":"10.1016/j.cegh.2025.102078","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess the willingness for organ donation among the family members of deceased individuals whose bodies were brought for postmortem examination and the sociodemographic factors associated with it at a tertiary care institute in North India.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted at the Department of Forensic Medicine &amp; Toxicology at the All India Institute of Medical Sciences, New Delhi. All medico-legal autopsy cases eligible for organ donation were included in the study, while cases with known contraindications to organ donation were excluded. The family member/immediate next of kin were approached for the consent for organ donation.</div></div><div><h3>Results</h3><div>A total of 811 medico-legal autopsies were performed during the study period. Among these, the family members of 244 eligible cases could be approached for cadaveric organ donation, of which only 62 (25.4 %) provided the consent. The factors found to be significantly associated with providing consent for organ donation were prior knowledge about organ donation, religion of the participant, education status of the participant, pledge to donation by the deceased individual and counselling provided by a doctor. The commonest reasons given by the participants for refusal of organ donations were disfigurement of the deceased's body (19.2 %) and the religious beliefs (15.4 %)</div></div><div><h3>Conclusion</h3><div>Unnatural deaths cases coming for medico-legal autopsy form a major potential pool of organ donors. However, a potentially large donor pool of these death cases is compromised by the lost opportunity cases which could not be approached timely for organ donation and the low acceptance rate for donation.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102078"},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional remedies from Aceh for diabetes mellitus treatment: Patterns of use in rural-urban areas in Aceh","authors":"Fauzul Husna ,&nbsp;Marisa Marisa ,&nbsp;Suryawati Suryawati ,&nbsp;Frans D. Suyatna ,&nbsp;Husnah Husnah ,&nbsp;Rani Wardani Hakim ,&nbsp;Muhammad Imam Aulia ,&nbsp;Efan Andriansyah Dasopang","doi":"10.1016/j.cegh.2025.102079","DOIUrl":"10.1016/j.cegh.2025.102079","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia due to a decrease in the function of the insulin hormone in lowering blood sugar levels or insulin resistance. In Aceh, Indonesia, traditional medicine remains integral to the healthcare practices of its communities, including for managing DM.</div></div><div><h3>Objective</h3><div>This research aims to analyze the prevalence of medicinal plant use, identify the underlying reasons for their utilization, and determine the most commonly used traditional plants in managing DM in the Acehnese community in urban and rural areas. <strong>Materials and Methods</strong>: A cross-sectional study involving 164 DM patients was conducted in two community health centers in Banda Aceh using a questionnaire-assisted face-to-face interview.</div></div><div><h3>Results</h3><div>The findings revealed that 47 % of respondents used medicinal plants, with women (p = 0.007, OR = 2.85) and patients with comorbidities (p = 0.002, OR = 2.81) considerably more likely to take herbal medicines. 85.71 % of respondent expressed satisfaction with herbal therapies, and the primary reasons for use were trust in their effectiveness (67.53 %) and accessibility (23.37 %).</div></div><div><h3>Conclusion</h3><div>The most commonly used plant materials are <em>Moringa oleifera</em> (19.48 %), <em>Syzygium polyanthum</em> (18.18 %), and <em>Annona muricata</em> (12.98 %). However, 37.66 % of participants did not consult healthcare professionals about their herbal use. Traditional medicine plays a crucial role in DM management among Acehnese communities, driven by cultural norms.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102079"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}